彭福南　曾艳　刘璐

[摘要] 慢性腎衰竭是一种常见泌尿系统疾病，通常发生在各种慢性肾脏疾病的最终阶段，容易发生迁延，临床上没有较为理想的治疗方式。现阶段临床治疗慢性肾衰竭主要是根据患者疾病发展的程度采用透析治疗或者药物治疗。不论是药物治疗还是透析治疗，容易在治疗后产生多种不良反应，严重影响了患者的治疗效果。对于血液透析患者来说，虽然这种方法能够净化血液，替代患者的肾脏排泄功能。但是在患者治疗过程中，由于部分患者对血液透析的耐受力较差，很容易在治疗后产生多种不良反应，严重时能够造成心血管疾病，尤其对老年患者的预后较差。因此如何在治疗后，减少不良反应的发生，提高患者的治疗依从性就显得十分关键。无缝护理管理指的是在以患者为本的基础上建立的一种新的护理模式，无缝护理管理相比于常规的护理重要，该模式可以在各个环节进行无缝衔接，从而在护理管理中保持连续性。无缝护理管理能够提供从患者入院时到患者出院后的全过程护理，该模式可以提高护理人员的护理质量，有针对性的对患者提供优质护理，促进患者康复。而且无缝护理管更加注重存在的护理缺陷，能及时整改护理措施，从而提高护理质量，提高患者对护理满意度。

[关键词] 无缝隙护理管理;慢性肾衰竭;不良反应;血液透析

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1673-9701（2020）30-0185-04

Research progress of seamless nursing management in the nursing of patients with chronic renal failure

PENG Funan   ZENG Yan   LIU Lu

Department of Nephropathy，Pingxiang People's Hospital in Jiangxi Province，Pingxiang   337000，China

[Abstract] Chronic renal failure is a common urinary system disease， usually occurs in the final stage of various chronic kidney diseases，and is prone to delay. No ideal treatment has been found clinically. At present，the treatment of chronic renal failure is mainly dialysis or drug therapy according to the degree of disease development. Both drug treatment and dialysis treatment are easy to produce a variety of adverse reactions after treatment，which seriously affects the treatment effect of patients. For hemodialysis patients，this method can purify the blood and replace the excretion function of the kidneys. During the treatment of patients，however，due to the poor tolerance of some patients to hemodialysis，it is easy to produce a variety of adverse reactions after treatment，which can cause cardiovascular diseases in severe cases，especially for elderly patients with poor prognosis. Therefore，how to reduce the occurrence of adverse reactions after treatment and improve patients' treatment compliance are very critical. Seamless nursing management refers to a new nursing mode established on the basis of patient-based theory. Compared with conventional nursing mode，seamless nursing management can be seamlessly connected in each link， so as to maintain continuity in nursing management. Seamless nursing management can provide the whole process of nursing from the patient's admission to after discharge. This mode can improve the nursing quality of nursing staff，provide high quality nursing for patients targeted，and promote the recovery of patients. Moreover，seamless nursing management pays more attention to the existing nursing defects，and can timely rectify nursing measures，so as to improve the quality of nursing and the satisfaction of patients with nursing.

[Key words] Seamless nursing management; Chronic renal failure; Adverse reaction; Hemodialysis

慢性肾衰竭是一种发病率较高的疾病，临床表现为血尿素氮升高、电解质失衡等症状[1]。……